Nursing interventions for patients with COVID‐19: A medical record review and nursing interventions classification study

Abstract

Purpose To describe the nursing interventions provided to patients with COVID‐19 using the Nursing Interventions Classification. Method This is a retrospective study involving the review of 1,344 patient records of adults admitted to a specialty hospital for COVID‐19 in Tabriz, Iran. The nursing intervention was used to classify documented nursing care and interventions provided to COVID‐19–positive patients from February 20 to August 20, 2020. Data were analyzed descriptively using SPSS16. Findings The 10 most frequently documented nursing interventions across in‐patient (ward) and intensive care unit (ICU) contexts included Admission Care (7310), Environmental Management (6486), Health Education (5510), Infection Protection (6550), Medication Administration (2300), Positioning (0840), Respiratory Monitoring (3350), Vital Signs Monitoring (6680), Nausea Management (1450), and Diarrhea Management (0460). No records of distraction, relaxation techniques, or massage for anxiety reduction were documented. Conclusion This study used a common language to describe nursing interventions for patients with COVID‐19 admitted to a tertiary hospital. Implications for nursing practice The most commonly identified nursing interventions for COVID‐19 identified in this study provide evidence‐based insight into nurses’ scope of practice in the COVID‐19 in‐patient context.

Description of COVID‐19 patients and mapping nursing data to ICNP 2021 reference set in SNOMED CT

“…None of the results of the trajectory of COVID‐19 patients took us by surprise. Commonly described symptoms for COVID‐19 in the literature were also reflected in recorded nursing diagnoses and interventions, e.g., breathing difficulties, fluid imbalance, hyperthermia, self‐care deficit (Ardic & Turan, 2021; Asghariet al., 2021; WHO, 2020). At least one nursing diagnosis was recorded for all the patients as that is required in the EHR and nursing interventions for 83.5% of the patients.…”

Nursing interventions that humanise care for patients affected by COVID-19 in isolation units: An integrative review

“…Regarding the category of symptom management, most adults hospitalised with COVID-19 not only have physical symptoms such as dyspnea, respiratory distress, fatigue, secretions, and cough but psychological symptoms including anxiety or delirium, which may be associated with states of agitation or drowsiness [33,34]. In addition to the variability of symptoms, depending on the person's age and the severity of the disease, patients with COVID-19 also experience symptoms related to underlying health conditions or comorbidities [35].…”

Characteristics, treatment, and nursing care of patients infected by Sars-CoV-2 hospitalized in intensive care units: multicenter study of colombian hospitals

“…Medications are administered hourly and according to the medical prescription by the nursing professional through a central catheter or PICC. (20) For the most part, the insertion of the PICC, insertion of peripheral lines, and care during the administration of medications is performed by the nursing professional, a constant of quality in the ICU. (20) Specialized medications are given by nurses according to the critical state of each patient and the system of greatest compromise (cardiovascular, renal, neurological, immunological, and systemic).…”

“…Prolonged cycles of pronation together with other factors, such as hypoperfusion and nutritional failures (probably a late start in the ICU), lead to the appearance of pressure ulcers in 25% of patients, with a higher prevalence in deceased patients (38.7%) with worse critical state, in line with other studies. (20,27,28) Oral hygiene, a basic part of nursing care, has been highly recommended in patients in the ICU on mechanical ventilation, since the oral cavity is considered a reservoir for cross-infection for caregivers and one of the routes of entry of microorganisms. In our study, oral hygiene was performed more frequently in living patients than in deceased patients.…”